This role is field-based; candidates should live within a reasonable distance from the primary city. Territory: Houston, TX; San Antonio, TX; Laredo, TX; McAllen, TX.
The Immunology Field Reimbursement Manager (FRM) is an in-office resource for healthcare providers (HCPs) in a designated territory. The FRM addresses patient access and reimbursement inquiries for AbbVie’s immunology portfolio, providing expertise on coverage, reimbursement challenges, and utilization of AbbVie support tools, and educating on prescription status, program eligibility, and payer processes.
Key Responsibilities:
- Educate HCPs (including bio coordinators and/or office staff) on AbbVie patient support programs and access/reimbursement tools and services.
- Educate on product acquisition options (specialty pharmacy networks and specialty distribution).
- Provide resources and strategies to address patient access issues.
- Deliver localized expertise on national and regional payer policies (coding updates; claims submission methodology).
- Collaborate with AbbVie’s Access and Reimbursement Support Center to relay prescription status and program eligibility updates.
- Report payer trends for approved products to Patient Services and Market Access teams.
- Establish and maintain professional relationships with providers in the territory.
- Maintain current knowledge on managed care, reimbursement, and policy trends.
Qualifications:
- Minimum 3 years’ experience in immunology, or access and reimbursement with expertise in market access and payer account management.
- Strong territory/account management skills; process mastery; customer engagement; strategic mindset; collaboration; market dynamics.
- Proven leadership record.
- Functional knowledge of access and reimbursement support service centers.
- Excellent communication and interpersonal skills.
- Ability to communicate technical coding/billing requirements across Medicare Parts A, B, C, and D.
- Understanding of rules/regulations/risks for reimbursement support services.
- Ability to build relationships, collaborate, and lead without authority.
- Bachelor’s degree.
- Ability to drive a personal auto/company vehicle or powered material handling equipment.
- Valid driver’s license; pass pre-employment drug screening and meet safe driving requirements.